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Zusammenfassung

Infektionserkrankungen des Ösophagus treten in der Regel nur bei Patienten mit gestörter Immunabwehr, beispielsweise chronischer Alkoholismus, AIDS (▸ Kap. 11), nach Organtransplantationen, aber auch bei Diabetes und in hohem Alter auf. Als häufigste Pilzinfektion gilt die Candidiasis. Bei ausgeprägter Immundefizienz treten auch bakterielle, parasitäre und virale Infektionen auf (Nassar u. Gregg 1998). Angaben zur Prävalenz aller infektiösen Ösophagitiden fehlen bis dato und sind nur für Candidainfektionen bekannt (<5% bei Gesunden, 25–50% bei Immunsupprimierten, Tumorkranken und Patienten im Stadium AIDS).

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Literatur

  1. AAAI (1990) Candidiasis hypersensitivity syndrome. Executive Committee of the American Academy of Allergy and Immunology. J Allergy Clin Immunol 78: 271–273Google Scholar
  2. Barbaro G, Barbarini G, Calderon W, Grisorio B, Alcini P, Di Lorenzo G (1996) Fluconazole versus itraconazole for candida esophagitis in acquired immunodeficiency syndrome. Candida Esophagitis. Gastroenterology 111: 1169–1177CrossRefGoogle Scholar
  3. Bennett JE (1990) Searching for the yeast connection. N Engl J Med 323: 1766–1767PubMedCrossRefGoogle Scholar
  4. Borczuk AC, Hagan R, Chipty F, Brandt LJ (1998) Cytologic detection of Trichomonas esophagitis in a patient with acquired immunodeficiency syndrome. Diagn Cytopathol 19: 313–316PubMedCrossRefGoogle Scholar
  5. Buslau M, Menzel I, Holzmann H (1990) Fungal flora of human faeces in psoriasis and atopic dermatitis. Mycoses 33: 90–94PubMedGoogle Scholar
  6. Cater RE 2nd (1995) Chronic intestinal candidiasis as a possible etiological factor in the chronic fatigue syndrome. Med Hypotheses 44: 507–515PubMedCrossRefGoogle Scholar
  7. Dantas RO, Aprile LR (2005) Esophageal contractions in Chagas’ disease and in idiopathic achalasia. J Clin Gastroenterol 39: 863–868PubMedCrossRefGoogle Scholar
  8. Dantas RO, Deghaide NH, Donadi EA (1999) Esophageal manometric and radiologic findings in asymptomatic subjects with Chagas’ disease. J Clin Gastroenterol 28: 245–248PubMedCrossRefGoogle Scholar
  9. Dismukes WE, Wade JS, Lee JY et al. (1990) A randomized, double-blind trial of nystatin therapy for the candidiasis hypersensitivity syndrome. N Engl J Med 323: 1717–1723PubMedCrossRefGoogle Scholar
  10. Grimes MM, LaPook JD, Bar MH (1987) Disseminated Pneumocystis carinii infection in a patient with acquired immunodeficiency syndrome. Hum Pathol 18: 307–308PubMedGoogle Scholar
  11. Jain SK, Jain S, Jain M, Yaduvanshi A (2002) Esophageal tuberculosis: is it so rare? Report of 12 cases and review of the literature. Am J Gastroenterol 97: 287–291PubMedCrossRefGoogle Scholar
  12. Minocha A, Mandanas RA, Kida M, Jazzar A (1997) Bullous esophagitis due to chronic graft-versus-host disease. Am J Gastroenterol 92: 529–530PubMedGoogle Scholar
  13. Nassar NN, Gregg CR (1998) Esophageal Infections. Curr Treat Options Gastroenterol 1: 56–63PubMedGoogle Scholar
  14. Odds FC (1987) Candida infections: an overview. Crit Rev Micribiol 15: 1–5CrossRefGoogle Scholar
  15. Parente F, Bianchi Porro G (1998) Treatment of cytomegalovirus esophagitis in patients with acquired immune deficiency syndrome: a randomized controlled study of foscarnet versus ganciclovir. The Italian Cytomegalovirus Study Group. Am J Gastroenterol. 93: 293–295Google Scholar
  16. Pinotti HW, Cecconello I, da Rocha JM, Zilberstein B (1991) Resection for achalasia of the esophagus. Hepatogastroenterology 38: 470–473PubMedGoogle Scholar
  17. Raufman JP (1988) Odynophagia/dysphagia in AIDS. Gastroenterol Clin North Am 17: 599–614PubMedGoogle Scholar
  18. Ruhnke M, Eigler A, Tennhagen I, Geiseler B, Trautmann M (1994) Emergence of fluconazole-resistant strains of candida albicans in patients with recurrent oropharyngeal candidosis and human immunodeficiency virus infection J Clin Microbiol 32: 2092–2098PubMedGoogle Scholar
  19. Schissel DJ, David-Bajar K (1999) Esophagitis dissecans superficialis associated with pemphigus vulgaris. Cutis 63: 157–160PubMedGoogle Scholar
  20. Villanueva JL, Torre-Cisneros J, Jurado R et al. (1994) Leishmania esophagitis in an AIDS patient: an unusual form of visceral leishmaniasis. Am J Gastroenterol 89: 273–275PubMedGoogle Scholar
  21. Villanueva A, Gotuzzo E, Arathoon EG et al. (2002) A randomized double-blind study of caspofungin versus fluconazole for the treatment of esophageal candidiasis. Am J Med 113: 294–299PubMedCrossRefGoogle Scholar
  22. Wenzel RP (1995) Nosocomial candidemia: risk factors and attributable mortality. Clin Infect Dis 20: 1531–1534PubMedGoogle Scholar

Copyright information

© Springer Medizin Verlag Heidelberg 2006

Authors and Affiliations

  • J. Stein
    • 1
  1. 1.Medizinische Klinik I, Klinikum der Johann WolfgangGoethe-UniversitätFrankfurt am Main

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